Analgesia-First Sedation in Trauma Patients

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMemorialCare Health System

About this trial

The study's aim is to ascertain the best approach for providing sedation and pain management for patients who have sustained trauma and are requiring respiratory support from a mechanical ventilator. The common approach to patients who need mechanical ventilation is to provide continuous drips of sedatives and pain medicine and awaken the patient once a day to check the brain functions. Another approach is to provide pain medicine and reserve sedatives for only a short duration when needed. The difference between approaches has not been studied in Trauma patients.

Eligibility criteria

Qualifiers

≥ 18 years of age

Mechanically ventilated with an expected duration of MV ≥ 48h

Initiated continuous sedative/analgesic infusions by the ICU team

Patient is a candidate for MV weaning

Disqualifiers

Admission after resuscitation from cardiac arrest

Significant neurological deficit due to a chronic disorder

History of alcohol dependence and/or other illicit drug abuse

Prior administration of continuous sedative/analgesic from a transferring institution

Trial design

Treatments tested in this trial

  • Analgesia First Sedation Strategy for Mechanically Ventilated (MV) Trauma Subjects
  • Protocol Directed Sedation and Daily Sedation Interruption

Treatment groups

170 Participants
are divided into 2 treatment groups

Sponsors and collaborators